Abstract
Autogenous grafts of ribs, rib cartilage, iliac bone or periosteum and outer-table of the skull are better tolerated than anything else in the repair of skull defects. Boiled bone is usually tolerated well if used at a primary procedure. Frozen bone (bank bone) may be as satisfactory as fresh autogenous bone but more experience is necessary before any final conclusions regarding this can be drawn. Alloplastic grafts have the advantage of availability, strength, good cosmetic results and less extensive surgical procedures. Failures are due to breaking down of wounds, recurrent chronic infection, persistent fluid accumulation or late trauma to the overlying scalp. Greater care and special precautions are necessary for the successful use of alloplastic materials for cranioplasty.
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